How much rates vary
Facilitymedian $324 · 10th to 90th $63 to $1,950Professionalmedian $2,455 · 10th to 90th $234 to $3,715
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $2,344.23 Typical High $2,884.03 | Facility | None | $724.44 | $2,344.23 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $2,884.03 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,884.03 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,818.38 Typical High $3,467.37 | Professional | None (both parts) | $2,344.23 | $2,818.38 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $57.54 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,818.38 Typical High $3,467.37 | Professional | TC · Technical part | $2,344.23 | $2,818.38 | $3,467.37 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $48.98 Median $3,715.35 Typical High $3,801.89 | Professional | None (both parts) | $48.98 | $3,715.35 | $3,801.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $54.95 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $3,388.44 Median $3,388.44 Typical High $4,786.30 | Professional | TC · Technical part | $3,388.44 | $3,388.44 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,548.82 | Facility | None | $489.78 | $660.69 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $186.21 | $288.40 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $229.09 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $371.54 | Professional | None | $245.47 | $295.12 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $239.88 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $3,548.13 | Facility | None | $416.87 | $416.87 | $3,548.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $2,691.53 | Professional | None (both parts) | $363.08 | $363.08 | $2,691.53 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $257.04 Typical High $954.99 | Facility | None | $60.26 | $257.04 | $954.99 |
Sentara Setting Professional Modifier None (both parts) Typical Low $72.44 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $72.44 | $295.12 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $72.44 | $123.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $281.84 | $426.58 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $14,791.08 | Facility | None | $6,025.60 | $6,606.93 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $2,398.83 Typical High $4,677.35 | Professional | None (both parts) | $245.47 | $2,398.83 | $4,677.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $2,344.23 Typical High $4,570.88 | Professional | TC · Technical part | $199.53 | $2,344.23 | $4,570.88 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | 53 · Discontinued | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | FX · Film X-ray | $1,862.09 | $1,862.09 | $2,344.23 |
Where Virginia sits
The same service costs 15.1 times more in Colorado than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 13th of 51
$2,399
CO $3,890NJ $257
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.